Devine Health & Rehabilitation - Devine Nursing Home
General Information
UPDATEFederal Provider Number
675489
Provider Name
DEVINE HEALTH & REHABILITATION
Provider Address
104 ENTERPRISE AVE
DEVINE, TX 78016
DEVINE, TX 78016
Provider Phone Number
8306634451
Provider SSA County
792
Provider County Name
Medina
Ownership Type
For profit - Individual
Number of Certified Beds
100
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEVINE I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.19900
Reported LPN Staffing Hours per Resident per Day
1.08700
Reported RN Staffing Hours per Resident per Day
0.69800
Reported Licensed Staffing Hours per Resident per Day
1.78500
Reported Total Nurse Staffing Hours per Resident per Day
3.98400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00600
Expected CNA Staffing Hours per Resident per Day
2.41744
Expected LPN Staffing Hours per Resident per Day
0.69904
Expected RN Staffing Hours per Resident per Day
1.18741
Expected Total Nurse Staffing Hours per Resident per Day
4.30389
Adjusted CNA Staffing Hours per Resident per Day
2.23198
Adjusted LPN Staffing Hours per Resident per Day
1.29065
Adjusted RN Staffing Hours per Resident per Day
0.43923
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73130
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
108
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Medina Valley Health & Rehabilitation Center
913 Hwy 90 W |
CASTROVILLE TX 78009 | 13.5 miles away
Community Care Center
2001 Ave E |
HONDO TX 78861 | 19.8 miles away
Hondo Nursing And Rehabilitation Lp
3002 Ave Q |
HONDO TX 78861 | 19.9 miles away
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